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http://dx.doi.org/10.3348/kjr.2015.16.4.749

Ultrasonography-Based Thyroidal and Perithyroidal Anatomy and Its Clinical Significance  

Ha, Eun Ju (Department of Radiology, Ajou University School of Medicine)
Baek, Jung Hwan (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
Lee, Jeong Hyun (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
Publication Information
Korean Journal of Radiology / v.16, no.4, 2015 , pp. 749-766 More about this Journal
Abstract
Ultrasonography (US)-guided procedures such as ethanol ablation, radiofrequency ablation, laser ablation, selective nerve block, and core needle biopsy have been widely applied in the diagnosis and management of thyroid and neck lesions. For a safe and effective US-guided procedure, knowledge of neck anatomy, particularly that of the nerves, vessels, and other critical structures, is essential. However, most previous reports evaluated neck anatomy based on cadavers, computed tomography, or magnetic resonance imaging rather than US. Therefore, the aim of this article was to elucidate US-based thyroidal and perithyroidal anatomy, as well as its clinical significance in the use of prevention techniques for complications during the US-guided procedures. Knowledge of these areas may be helpful for maximizing the efficacy and minimizing the complications of US-guided procedures for the thyroid and other neck lesions.
Keywords
Thyroid; Ultrasonography; RF ablation; Nerve block; Core needle biopsy;
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1 Hong MJ, Baek JH, Kim DY, Ha EJ, Choi WJ, Choi YJ, et al. Spinal accessory nerve: ultrasound findings and correlations with neck lymph node levels. Ultraschall Med 2014 Dec 17 [Epub ahead of print]
2 Kuusniemi K, Pyylampi V. Phrenic nerve block with ultrasound-guidance for treatment of hiccups: a case report. J Med Case Rep 2011;5:493   DOI
3 Kang KN, Park IK, Suh JH, Leem JG, Shin JW. Ultrasound-guided Pulsed Radiofrequency Lesioning of the Phrenic Nerve in a Patient with Intractable Hiccup. Korean J Pain 2010;23:198-201   DOI
4 Ha EJ, Lee JH, Lim HK, Bae Kim W, Baek JH. Identification of continuity of transected nerve on sonography after neck dissection: direct sign of traumatic neuroma. Thyroid 2011;21:1385-1387   DOI
5 Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice, Expert Consult. London: Churchill Livingstone, 2008
6 Jacob S. Human anatomy: A Clinically-Orientated Approach. New York: Elsevier, 2008
7 Singh M, Chin KJ, Chan VW, Wong DT, Prasad GA, Yu E. Use of sonography for airway assessment: an observational study. J Ultrasound Med 2010;29:79-85   DOI
8 van Eerd M, Patijn J, Sieben JM, Sommer M, Van Zundert J, van Kleef M, et al. Ultrasonography of the cervical spine: an in vitro anatomical validation model. Anesthesiology 2014;120:86-96   DOI
9 Strauss S. Cricoid cartilage masquerading as a tumour on thyroid ultrasound. Br J Radiol 1999;72:644-647   DOI
10 Gharib H, Hegedus L, Pacella CM, Baek JH, Papini E. Clinical review: nonsurgical, image-guided, minimally invasive therapy for thyroid nodules. J Clin Endocrinol Metab 2013;98:3949-3957   DOI
11 Na DG, Lee JH, Jung SL, Kim JH, Sung JY, Shin JH, et al. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations. Korean J Radiol 2012;13:117-125   DOI
12 Kapral S, Greher M, Huber G, Willschke H, Kettner S, Kdolsky R, et al. Ultrasonographic guidance improves the success rate of interscalene brachial plexus blockade. Reg Anesth Pain Med 2008;33:253-258   DOI
13 Yeon JS, Baek JH, Lim HK, Ha EJ, Kim JK, Song DE, et al. Thyroid nodules with initially nondiagnostic cytologic results: the role of core-needle biopsy. Radiology 2013;268:274-280   DOI
14 Na DG, Kim JH, Sung JY, Baek JH, Jung KC, Lee H, et al. Core-needle biopsy is more useful than repeat fine-needle aspiration in thyroid nodules read as nondiagnostic or atypia of undetermined significance by the Bethesda system for reporting thyroid cytopathology. Thyroid 2012;22:468-475   DOI
15 Lee SH, Kim MH, Bae JS, Lim DJ, Jung SL, Jung CK. Clinical outcomes in patients with non-diagnostic thyroid fine needle aspiration cytology: usefulness of the thyroid core needle biopsy. Ann Surg Oncol 2014;21:1870-1877   DOI
16 Ha EJ, Baek JH, Lee JH, Kim JK, Kim JK, Lim HK, et al. Core needle biopsy can minimise the non-diagnostic results and need for diagnostic surgery in patients with calcified thyroid nodules. Eur Radiol 2014;24:1403-1409   DOI
17 Ha EJ, Baek JH, Lee JH, Song DE, Kim JK, Shong YK, et al. Sonographically suspicious thyroid nodules with initially benign cytologic results: the role of a core needle biopsy. Thyroid 2013;23:703-708   DOI
18 Baek JH, Lee JH, Sung JY, Bae JI, Kim KT, Sim J, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology 2012;262:335-342   DOI
19 Kim BM, Kim EK, Kim MJ, Yang WI, Park CS, Park SI. Sonographically guided core needle biopsy of cervical lymphadenopathy in patients without known malignancy. J Ultrasound Med 2007;26:585-591   DOI
20 Screaton NJ, Berman LH, Grant JW. Head and neck lymphadenopathy: evaluation with US-guided cutting-needle biopsy. Radiology 2002;224:75-81   DOI
21 Kaufman MR, Elkwood AI, Rose MI, Patel T, Ashinoff R, Fields R, et al. Surgical treatment of permanent diaphragm paralysis after interscalene nerve block for shoulder surgery. Anesthesiology 2013;119:484-487   DOI
22 Jeng CL, Torrillo TM, Rosenblatt MA. Complications of peripheral nerve blocks. Br J Anaesth 2010;105 Suppl 1:i97-i107   DOI
23 Usui Y, Kobayashi T, Kakinuma H, Watanabe K, Kitajima T, Matsuno K. An anatomical basis for blocking of the deep cervical plexus and cervical sympathetic tract using an ultrasound-guided technique. Anesth Analg 2010;110:964-968   DOI
24 Bhatia A, Flamer D, Peng PW. Evaluation of sonoanatomy relevant to performing stellate ganglion blocks using anterior and lateral simulated approaches: an observational study. Can J Anaesth 2012;59:1040-1047   DOI
25 Chiou HJ, Chou YH, Chiou SY, Liu JB, Chang CY. Peripheral nerve lesions: role of high-resolution US. Radiographics 2003;23:e15   DOI
26 Fornage BD. Peripheral nerves of the extremities: imaging with US. Radiology 1988;167:179-182   DOI
27 Giovagnorio F, Martinoli C. Sonography of the cervical vagus nerve: normal appearance and abnormal findings. AJR Am J Roentgenol 2001;176:745-749   DOI
28 Ha EJ, Baek JH, Lee JH, Kim JK, Shong YK. Clinical significance of vagus nerve variation in radiofrequency ablation of thyroid nodules. Eur Radiol 2011;21:2151-2157   DOI
29 Knappertz VA, Tegeler CH, Hardin SJ, McKinney WM. Vagus nerve imaging with ultrasound: anatomic and in vivo validation. Otolaryngol Head Neck Surg 1998;118:82-85   DOI
30 Donatini G, Iacconi P, De Bartolomeis C, Iacconi C, Fattori S, Pucci A, et al. Neck lesions mimicking thyroid pathology. Langenbecks Arch Surg 2009;394:435-440   DOI
31 Ha EJ, Baek JH, Lee JH, Kim YJ, Kim JK, Kim TY, et al. Characteristic ultrasound feature of traumatic neuromas after neck dissection: direct continuity with the cervical plexus. Thyroid 2012;22:820-826   DOI
32 Park JK, Jeong SY, Lee JH, Lim GC, Chang JW. Variations in the course of the cervical vagus nerve on thyroid ultrasonography. AJNR Am J Neuroradiol 2011;32:1178-1181   DOI
33 Le Corroller T, Sebag F, Vidal V, Jacquier A, Champsaur P, Bartoli JM, et al. Sonographic diagnosis of a cervical vagal schwannoma. J Clin Ultrasound 2009;37:57-60   DOI
34 Henry JF, Audiffret J, Denizot A, Plan M. The nonrecurrent inferior laryngeal nerve: review of 33 cases, including two on the left side. Surgery 1988;104:977-984
35 Gray SW, Skandalakis JE, Akin JT Jr. Embryological considerations of thyroid surgery: developmental anatomy of the thyroid, parathyroids and the recurrent laryngeal nerve. Am Surg 1976;42:621-628
36 Avisse C, Marcus C, Delattre JF, Marcus C, Cailliez-Tomasi JP, Palot JP, et al. Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly. Review of 17 cases. Surg Radiol Anat 1998;20:227-232
37 Shin JE, Baek JH, Lee JH. Radiofrequency and ethanol ablation for the treatment of recurrent thyroid cancers: current status and challenges. Curr Opin Oncol 2013;25:14-19   DOI
38 Gong RX, Luo SH, Gong YP, Wei T, Li ZH, Huang JB, et al. Prediction of nonrecurrent laryngeal nerve before thyroid surgery--experience with 1825 cases. J Surg Res 2014;189:75-80   DOI
39 Yetisir F, Salman AE, Ciftci B, Teber A, Kilic M. Efficacy of ultrasonography in identification of non-recurrent laryngeal nerve. Int J Surg 2012;10:506-509   DOI
40 Huang SM, Wu TJ. Neck ultrasound for prediction of right nonrecurrent laryngeal nerve. Head Neck 2010;32:844-849
41 Shin JH, Baek JH, Ha EJ, Lee JH. Radiofrequency ablation of thyroid nodules: basic principles and clinical application. Int J Endocrinol 2012;2012:919650
42 Sasou S, Nakamura S, Kurihara H. Suspensory ligament of Berry: its relationship to recurrent laryngeal nerve and anatomic examination of 24 autopsies. Head Neck 1998;20:695-698   DOI
43 Barberet G, Henry Y, Tatu L, Berthier F, Besch G, Pili-Floury S, et al. Ultrasound description of a superior laryngeal nerve space as an anatomical basis for echoguided regional anaesthesia. Br J Anaesth 2012;109:126-128   DOI
44 Saylam CY, Ozgiray E, Orhan M, Cagli S, Zileli M. Neuroanatomy of cervical sympathetic trunk: a cadaveric study. Clin Anat 2009;22:324-330   DOI
45 Shin JE, Baek JH, Ha EJ, Choi YJ, Choi WJ, Lee JH. Ultrasound features of middle cervical sympathetic ganglion. Clin J Pain 2014 Nov 19 [Epub ahead of print]
46 Kiray A, Arman C, Naderi S, Guvencer M, Korman E. Surgical anatomy of the cervical sympathetic trunk. Clin Anat 2005;18:179-185   DOI
47 Gervasio A, Mujahed I, Biasio A, Alessi S. Ultrasound anatomy of the neck: the infrahyoid region. J Ultrasound 2010;13:85-89   DOI
48 Gofeld M, Bhatia A, Abbas S, Ganapathy S, Johnson M. Development and validation of a new technique for ultrasound-guided stellate ganglion block. Reg Anesth Pain Med 2009;34:475-479   DOI
49 Pishdad GR, Pishdad P, Pishdad R. Horner's syndrome as a complication of percutaneous ethanol treatment of thyroid nodule. Thyroid 2011;21:327-328   DOI
50 Messika O, Telman G. Horner syndrome after lymph node fine needle aspiration. Acta Cytol 2009;53:487-488   DOI
51 Ihnatsenka B, Boezaart AP. Applied sonoanatomy of the posterior triangle of the neck. Int J Shoulder Surg 2010;4:63-74   DOI
52 Roessel T, Wiessner D, Heller AR, Zimmermann T, Koch T, Litz RJ. High-resolution ultrasound-guided high interscalene plexus block for carotid endarterectomy. Reg Anesth Pain Med 2007;32:247-253   DOI
53 Narouze S. Sonoanatomy of the cervical spinal nerve roots: implications for brachial plexus block. Reg Anesth Pain Med 2009;34:616
54 Demondion X, Herbinet P, Boutry N, Fontaine C, Francke JP, Cotten A. Sonographic mapping of the normal brachial plexus. AJNR Am J Neuroradiol 2003;24:1303-1309
55 Canella C, Demondion X, Abreu E, Marchiori E, Cotten H, Cotten A. Anatomical study of spinal accessory nerve using ultrasonography. Eur J Radiol 2013;82:56-61   DOI
56 Mirjalili SA, Muirhead JC, Stringer MD. Ultrasound visualization of the spinal accessory nerve in vivo. J Surg Res 2012;175:e11-e16   DOI
57 Seok JI, Kim JW, Walker FO. Spontaneous spinal accessory nerve palsy: the diagnostic usefulness of ultrasound. Muscle Nerve 2014;50:149-150
58 Soeding P, Eizenberg N. Review article: anatomical considerations for ultrasound guidance for regional anesthesia of the neck and upper limb. Can J Anaesth 2009;56:518-533   DOI
59 Trimboli P, Nasrollah N, Guidobaldi L, Taccogna S, Cicciarella Modica DD, Amendola S, et al. The use of core needle biopsy as first-line in diagnosis of thyroid nodules reduces false negative and inconclusive data reported by fine-needle aspiration. World J Surg Oncol 2014;12:61   DOI
60 Mra Z, Wax MK. Nonrecurrent laryngeal nerves: anatomic considerations during thyroid and parathyroid surgery. Am J Otolaryngol 1999;20:91-95   DOI
61 Tomoda C, Takamura Y, Ito Y, Miya A, Miyauchi A. Transient vocal cord paralysis after fine-needle aspiration biopsy of thyroid tumor. Thyroid 2006;16:697-699   DOI
62 Lee JH, Lee HK, Lee DH, Choi CG, Kim SJ, Suh DC. Neuroimaging strategies for three types of Horner syndrome with emphasis on anatomic location. AJR Am J Roentgenol 2007;188:W74-W81   DOI
63 Canella C, Demondion X, Delebarre A, Moraux A, Cotten H, Cotten A. Anatomical study of phrenic nerve using ultrasound. Eur Radiol 2010;20:659-665   DOI